Stomatologist № 3 (34) – 2019, pp. 67-70 SCIENTIFIC PUBLICATION
Treatment of endoperiodontitis with the use of the laser therapy
Yu.L. Denisovaa, N.I. Rossenikb
aMD, PhD, DMSci, Professor, Belarusian State Medical University, Minsk, Belarus
bBelarusian State Medical University, Minsk, Belarus
https://doi.org/10.32993/stomatologist.2019.3(34).9
ABSTRACT
The specific features of treating combined inflammatory and destructive processes in the endodontium and periodontium is the current direction of the modern dental practice.
The aim of the study is to develop and evaluate the clinical effectiveness of treating endoperiodontitis with the use of the laser therapy in patients with periodontal diseases.
Objects and methods. The study includes the clinical, as well as molecular and genetic examination of the content from the pathological dentogingival pocket in the area of intact teeth 3.6 and 4.6 with chronic endoperiodontitis in 62 patients aged 35–44 years with periodontal diseases. Patients of the 1st group receive the standard periodontal treatment, and the 2nd group has periodontal treatment in combination with laser therapy.
Results and discussion. The follow-up in the patients with endoperiodontitis shows the expressed therapeutic and prophylactic effect of the laser therapy that is reflected in the analgesic effect (on subjective sensations, p < 0.05) anti-inflammatory action (GI, real-time PCR, p < 0.05) and acceleration of the recovery (according to the data from electric pulp test, probing of the dentogingival pocket, PI, CBCT, p < 0.05).
Conclusion. The new method of treating endoperiodontitis with the use of laser therapy allows to obtain positive results up to 96.8% that decreases the intensity of inflammation, speeds up the regenerative processes in periodontal tissues effectively and opens wide prospects for its application in the clinical practice (instruction for use № 047-0518: approved by the Ministry of Health of the Republic of Belarus 01.06.2018).
Keywords: endoperiodontitis, periodontal disease, microflora, laser therapy
References
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Correspondence to: Е-mail: denisova_yul@mail.com